MEDICARE: HALLE WASHINGTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1497627582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALLE WASHINGTON

Provider Business Mailing Address
First Line	:	1229 E PLEASANT RUN RD STE 131
Second Line	:
City	:	DESOTO
State	:	TX
Zip	:	75115-4211
Country	:	US
Telephone Number	:	682-564-1815
Fax Number	:

Provider Business Practice Location Address
First Line	:	1212 SINGLETON BLVD APT 2016
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75212-5367
Country	:	US
Telephone Number	:	318-272-0240
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2025
Last Update Date	:	09/19/2025

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Directions to “ HALLE WASHINGTON ” Practice Location

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